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Shannon Schrader

Psychologist in New Haven, CT. Individual provider (NPI-1).

NPI number1407586837
StatusActive
Last updated in NPPESAug 19, 2026

Details

NPI
1407586837
Entity type
Individual (NPI-1)
Name
Shannon Schrader
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2022
Certification date
Aug 19, 2026
Last updated
Aug 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes

Practice location

1050 State St Apt 219
New Haven, CT 06511-2765

Phone 703-987-8364

Mailing address

1050 State St Apt 219
New Haven, CT 06511-2765

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